St. Mary'S Laboratory, Llc

LBN: St. Mary'S Laboratory, Llc
St. Mary'S Laboratory, Llc is an health care organization with primary practice located at 3517 W Owen K Garriott Rd Suite 5, Enid OK 73703-4952. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. St. Mary'S Laboratory, Llc can be contacted via phone (580) 234-6800, or through Johannessen, John via phone (903) 416-1726.

Contact Information

Primary practice address
3517 W Owen K Garriott Rd Suite 5 Enid OK 73703-4952
Phone: (580) 234-6800
Fax: (580) 237-1828
Website:
Map and Directions
Authorized official contact:
Name: Johannessen, John
Phone: (903) 416-1726

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1508207242
LBN Legal business name St. Mary'S Laboratory, Llc
DBA Doing business as
Authorized official Johannessen, John
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2013
Last updated Aug 28th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508207242 NPPES
Oklahoma MEDICAID 200505130A

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